- The Hartford (Hartford, CT)
- …market conduct, and EB regulatory reporting + Support complaint response for complex claims as requested by Claim Specialists or legal + Partner with ... Delivery plays a key role within Group Reinsurance Plus (GRP's) Compliance & Client Operations team, acting as a subject matter expert in both compliance and product… more
- Molina Healthcare (Cincinnati, OH)
- …government regulations/compliance, operations + Must have strong understanding of QNXT claims processes + Must be able to identify and troubleshoot claim ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …department preferably in the fields of medical malpractice, professional/general liability claim management, and/or employment claims management. + In-house ... to service offices; legal research and policy support; incident management of in-house claims ; and assistance with third-party claims such as complaints, payor… more
- City of New York (New York, NY)
- …benefits, as well as advocating for veterans' rights. General Responsibilities: - Claim Assistance: Helping veterans file initial claims for disability, ... culture. DVS' Veterans Support Services Attorney will assist the Claims Team and the Legal Unit. Legal Assistance with...laws, regulations, and court decisions relevant to the agency's operations - Litigation Support: Assist in the preparation and… more
- Allied Universal (Stillwater, OK)
- **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Allied Universal (Syracuse, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- TEKsystems (Rochester, NY)
- …and 1500F05 specific payer requirements preferred Job Description -Review and accurately process claim edits in a system work queue. Accurately handle claim ... adjustments and coverage changes as needed. -Review and process claim denials according to established processes. Research and resolve denial issues via the payer… more
- AdventHealth (Maitland, FL)
- …and beliefs. Assisting the Supervisor with managing the day to day operations . + Works reports daily, maintaining established goal(s), and notifies Director, of ... Produces written correspondence to payers and patients regarding status of claim , requesting additional information, etc. Participate in insurance claim … more
- Walmart (Plainfield, IN)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and… more
- US Tech Solutions (Columbia, SC)
- …as required by insurance laws (such as support of claims , remit advices, inquiry/response for claims status/eligibility, enrollment, ... premium payment etc.), support of all current formats/transactions required by law/ lines of business. *40% Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and… more